Assessment of the effectiveness of multislice computed tomography data in the diagnosis of spontaneous adrenal tumor rupture
https://doi.org/10.34680/2076-8052.2025.4(142).683-687
Abstract
Adrenal neoplasms are the third most common cause of hemorrhages and hematomas in the paranephric space. Spontaneous adrenal hemorrhage is a rare, potentially life-threatening condition characterized by acute blood loss due to vascular rupture within the adrenal gland, accompanied by active bleeding and the formation of retroperitoneal hematomas. This article presents a clinical case of diagnosing a spontaneous rupture of a left adrenal tumor in a 38-year-old female patient. Contrast-enhanced multislice computed tomography revealed an extensive left-sided retroperitoneal hematoma with a volume of 1300 cm³. Owing to timely surgical management, including laparotomy, removal of the organized left retroperitoneal hematoma, left adrenalectomy, and careful postoperative monitoring, the patient was discharged on the tenth day of hospitalization without any complications.
About the Authors
N. V. TsvetkovaРоссия
Pskov
Ye. I. Sluchanko
Россия
Pskov
References
1. Nepomnyashchaya S. L., Fedorov E. A., Krasnov L. M., Rebrova D. V., Semiletova Yu. V., Pavlikova I. A., Bakhtiyarova A. R., Danilin V. N., Dmitrichenko V. V., Kuleshov O. V., Alekseev M. A., Pridvizhkina T. S., Loginova O. I. Clinical cases of diagnosis and treatment of adrenal tumors complicated by rupture and complications of retroperitoneal hematoma // Endocrine surgery. 2024. 18 (1). 29–39. DOI: 10.14341/serg12823 (In Russian).
2. Hammond N. A., Lostumbo A., Adam S. Z., Remer E. M., Nikolaidis P., Yaghmai V., Berggruen S. M., Miller F. H. Imaging of adrenal and renal hemorrhage // Abdominal imaging. 2015. 40 (7). 2747–2760. DOI: 10.1007/s00261-015-0453-5
3. Pigolkin Yu. I., Dolzhansky O. V., Pal'tseva E. M., Shilova M. A., Fedorov D. N., Boeva S. E. Forensic medical assessment of traumatic and spontaneous organ ruptures in tumor involvement // The forensic medical evaluation of traumatic and spontaneous ruptures of the organs affected by the tumours // Sudebno-meditsinskaia ekspertiza. 60 (2). 49–56. DOI: 10.17116/sudmed201760249-56 (In Russian).
4. Beltsevich D. G., Melnichenko G. A., Kuznetsov N. S., Troshina E. A., Platonova N. M., Vanushko V. E., Yukina M. Yu., Molashenko N. V. Clinical guidelines of the Russian Association of Endocrinologists on the differential diagnosis of adrenal incidentalomas // Endocrine Surgery. 2016. 10 (4). 31–42. DOI: 10.14341/serg2016431-42 (In Russian).
5. Beloborodov V. A. "Biphase" break of the tumor of the adrenal gland // Siberian medical journal (Irkutsk). 2005. 5 (5). 79–81. (In Russian).
6. Lisitcyn A. A., Zemlyanoy V. P., Velikanova L. I., Shafigullina Z. R. Hormonally active adrenocortical cancer of the left adrenal gland, complicated by a spontaneous rupture of the tumor // Bulletin of Dagestan state medical academy. 2020. 35 (2). 30–33. (In Russian).
Review
For citations:
Tsvetkova N.V., Sluchanko Ye.I. Assessment of the effectiveness of multislice computed tomography data in the diagnosis of spontaneous adrenal tumor rupture. Vestnik of Novgorod State University. 2025;(4(142)):683-687. (In Russ.) https://doi.org/10.34680/2076-8052.2025.4(142).683-687
JATS XML
